Shock Wave Therapy for Carpal Tunnel Syndrome

This article published in the journal Disability and Rehabilitation, demonstrates that shock wave therapy may be beneficial for helping people with carpal tunnel syndrome.  CLICK HERE to see a brief video of shock wave therapy. ~ Dr. Broussard

Effects of shock wave therapy in patients with carpal tunnel syndrome: a systematic review and meta-analysis

Yujie Xie, Chi Zhang, Bin Liang, Jianxiong Wang, Li Wang, Tenggang Wan, Fangyuan Xu & Lei Lei (2020)
Disability and Rehabilitation, DOI: 10.1080/09638288.2020.1762769

Purpose: To determine whether shock wave therapy could improve symptoms and hand function in patients with carpal tunnel syndrome.

Materials and methods: Medline, Embase, Physiotherapy Evidence Database, the Cochrane Central Register of Controlled Trials, OpenGrey, CNKI, VIP, Wang Fang databases, and China Biological Medicine were searched, from inception to December 2019.

Results: Ten trials involving 433 patients (501 wrists) were included in this systematic review. The shock wave therapy was observed to have a significant effect on pain relief (MD: −0.60, 95% CI: −1.16 to −0.05, p = 0.03), syndrome alleviation (MD: −2.26, 95% CI: −3.24 to −1.27, p < 0.00001) and functional recovery (MD: −1.25 95% CI: −2.08 to −0.43, p = 0.003) among the carpal tunnel syndrome patients. As revealed by the subgroup analysis, radial shock wave therapy made a significant difference in pain relief, syndrome alleviation, and functional recovery (p < 0.05). Focused shock wave had no significant effect on pain relief, syndrome alleviation, and functional recovery (p > 0.05).

Conclusion: Shock wave therapy could be conductive to improve syndrome and hand function for carpal tunnel syndrome patients.

  • Implications for rehabilitation
  • Shock wave therapy is beneficial for alleviating syndrome and improving hand function of carpal tunnel syndrome patients.

  • Radial shock wave therapy seems superior to focused shock wave therapy on syndrome alleviation and functional recovery of hand in carpal tunnel syndrome patients.

Journal Reference